Active NPI
Alan Tyler Dixon I, 261155964 FSO
- Research Study Specialist
- Clarksville, TN
National Provider Identifier
1043674112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Research Study Specialist
- License
- 11015479
- Practice address
- 611 Madison St Apt 306
Clarksville, TN 37040-4881 - Phone
- (615) 719-0992
- NPI assigned
- Apr 5, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Research Study Specialist | 1744R1102X | 11015479 | TN | Primary |
Addresses
Primary practice location
611 Madison St Apt 306
Clarksville, TN 37040-4881
Mailing address
611 Madison St Apt 306
Alan Tyler Dixon I
Clarksville, TN 37040-4881
Phone (615) 719-0992
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 225600000X | Medicaid | TN | |
| 1043674112 | Medicaid | TN | |
| 225600000X | Other | TN | UNITEDHEALTHCARE COMMUNITY PLAN |
| 261155964 | Other | TN | UNITED STATES DEPARTMENT OF STATES FOREIGN SERVICE & CONSULAR FELLOWS PROGRAM |
Other names 1
- Prof. Pathos Crescendo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11015479 | TN | MD | Research Study Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760486400000",
"number": "1043674112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 MADISON ST APT 306",
"address_2": "ALAN TYLER DIXON I",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370404881",
"telephone_number": "615-719-0992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 MADISON ST APT 306",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370404881",
"telephone_number": "615-719-0992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "ALAN",
"middle_name": "TYLER",
"name_prefix": "Mrs.",
"name_suffix": "I",
"credential": "261155964 FSO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-05",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "1744R1102X",
"taxonomy_group": "",
"desc": "Specialist, Research Study",
"state": "TN",
"license": "11015479",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "225600000X",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1043674112",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE COMMUNITY PLAN",
"identifier": "225600000X",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED STATES DEPARTMENT OF STATES FOREIGN SERVICE & CONSULAR FELLOWS PROGRAM",
"identifier": "261155964",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PATHOS",
"last_name": "CRESCENDO",
"prefix": "PROF.",
"credential": "M.A.F., P.S.D., LLC.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.